穴位按压干预虚性中-重度变应性鼻炎的临床疗效观察及机制研究

注册号:

Registration number:

ChiCTR2300072292 

最近更新日期:

Date of Last Refreshed on:

2023-07-30 10:26:47 

注册时间:

Date of Registration:

2023-06-08 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

穴位按压干预虚性中-重度变应性鼻炎的临床疗效观察及机制研究

Public title:

Clinical efficacy and mechanism of acupressure intervention for deficiency moderate-to-severe allergic rhinitis

注册题目简写:

English Acronym:

研究课题的正式科学名称:

穴位按压干预虚性中-重度变应性鼻炎的临床疗效观察及机制研究

Scientific title:

Clinical efficacy and mechanism of acupressure intervention for deficiency moderate-to-severe allergic rhinitis

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

李凯 

研究负责人:

李凯 

Applicant:

Kai Li 

Study leader:

Kai Li 

申请注册联系人电话:

Applicant telephone:

+86 158 7654 7542

研究负责人电话:

Study leader's
telephone:

+86 158 7654 7542

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

gdlikai@163.com

研究负责人电子邮件:

Study leader's E-mail:

gdlikai@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

广东省广州市越秀区大德路111号广东省中医院东区八楼耳鼻咽喉头颈科

研究负责人通讯地址:

广东省广州市越秀区大德路111号广东省中医院东区八楼耳鼻咽喉头颈科

Applicant address:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, 111 Dade Road, Yuexiu District, Guangzhou, Guangdong, China

Study leader's address:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, 111 Dade Road, Yuexiu District, Guangzhou, Guangdong, China

申请注册联系人邮政编码:

Applicant postcode:

510120

研究负责人邮政编码:

Study leader's postcode:

510120

申请人所在单位:

广州中医药大学第二附属医院

Applicant's institution:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

研究负责人所在单位:

广州中医药大学第二附属医院

Affiliation of the Leader:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

广东省中医院伦理委员会ZF2023-040-01

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

广东省中医院伦理委员会

Name of the ethic committee:

Ethics Committee of Guangdong Provincial Hospital of Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2023-03-29 00:00:00

伦理委员会联系人:

李晓彦

Contact Name of the ethic committee:

Xiaoyan Li

伦理委员会联系地址:

广东省广州市越秀区大德路111号广东省中医院

Contact Address of the ethic committee:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, 111 Dade Road, Yuexiu District, Guangzhou, Guangdong, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 20 8188 7233

伦理委员会联系人邮箱:

Contact email of the ethic committee:

llbgs@gzucm.edu.cn

研究实施负责(组长)单位:

广州中医药大学第二附属医院

Primary sponsor:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

研究实施负责(组长)单位地址:

广东省广州市越秀区大德路111号

Primary sponsor's address:

111 Dade Road, Yuexiu District, Guangzhou, Guangdong, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东省

市(区县):

广州市

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广州中医药大学第二附属医院

具体地址:

越秀区大德路111号

Institution
hospital:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

Address:

111 Dade Road, Yuexiu District

经费或物资来源:

广东省中医药局

Source(s) of funding:

Traditional Chinese Medicine Bureau of Guangdong Province

研究疾病:

变应性鼻炎  

Target disease:

allergic rhinitis

研究疾病代码:

J30.1-J30.4

Target disease code:

J30.1-J30.4

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

1.对穴位按压治疗变应性鼻炎的临床对照试验进行系统评价及meta分析,评价该方案的疗效。 2.中-重度变应性鼻炎患者进行中医体质调查、分析,筛选出虚性中-重度变应性鼻炎患者。 3.“线上+线下”模式,观察鼻炎穴位指压操的临床疗效及其对鼻功能的影响。 4.通过对目标患者鼻腔分泌物中细胞因子的分析,探讨该方案的作用机制。  

Objectives of Study:

1. A systematic evaluation and meta-analysis of a controlled clinical trial of acupressure for the treatment of allergic rhinitis was conducted to evaluate the efficacy of the protocol. 2. To investigate and analyse the TCM constitution of patients with moderate-to-severe allergic rhinitis and to screen out patients with deficiency moderate-to-severe allergic rhinitis. 3. Observe the clinical efficacy of acupressure exercises on rhinitis acupoints and their effects on nasal function in the "online + offline" mode. 4. Analysis of cytokines in the nasal secretions of target patients to explore the mechanism of action of the programme.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.急性鼻炎(伤风),血管运动性鼻炎,自主神经性鼻炎,嗜酸性粒细胞增多性非变态反应性鼻炎,或血清 IgE 阴性者;
2.头面局部皮肤病变如烧伤、湿疹、溃疡、冻疮破溃者;
3.孕妇及肿瘤患者;
4.由于智力或行为障碍不能充分配合完成试验者;
5.因工作环境经常变动等易造成失访的患者;
6.目前使用全身糖皮质激素治疗;
7.哮喘病史且目前正在使用激素类药物治疗;
8.对研究药物过敏或有禁忌症的患者。

Exclusion criteria:

1. Acute rhinitis (typhoid), vasomotor rhinitis, autonomic rhinitis, eosinophilic non-allergic rhinitis, or serum IgE negative. 2. Local skin lesions on the head and face such as burns, eczema, ulcers, frostbite breakouts; 3. Pregnancy or menstruation (After menstruation can be treated, the dating should be marked) or lactating women; 4. Participants with dysnoesia or behavioral disorders will be unable to cooperate with the study; 5. Participants who are easily lost to follow-up; 6. Those who are using systemic or local hormones for asthma or other diseases; 7. Participants with a history of asthma and currently treated with hormonal drugs; 8. Participants with allergies or contraindications to study drugs.

研究实施时间:

Study execute time:

From 2023-01-01 00:00:00 To 2024-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-06-01 00:00:00 To 2024-06-30 00:00:00

干预措施:

Interventions:

组别:

干预组

样本量:

37

Group:

the treatment group

Sample size:

干预措施:

健康教育加鼻炎穴位指压操加糠酸莫米松鼻喷剂喷鼻

干预措施代码:

Intervention:

Health education and the ARAT and the Mometasone furoate nasal spray

Intervention code:

组别:

对照1组

样本量:

37

Group:

the control group 1

Sample size:

干预措施:

健康教育加非特应性穴位按压加糠酸莫米松鼻喷剂喷鼻

干预措施代码:

Intervention:

Health education and the non-specific acupoints acupressure and the Mometasone furoate nasal spray

Intervention code:

组别:

对照2组

样本量:

37

Group:

the control group 2

Sample size:

干预措施:

健康教育加糠酸莫米松鼻喷剂喷鼻

干预措施代码:

Intervention:

Health education and the Mometasone furoate nasal spray

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

广州中医药大学第二附属医院 

单位级别:

三级甲等 

Institution
hospital:

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

鼻部症状评分表

指标类型:

主要指标

Outcome:

total nasal symptom score (TNSS)

Type:

Primary indicator

测量时间点:

2周/次

测量方法:

患者自行记录于TNSS量表

Measure time point of outcome:

This is done every 2 weeks

Measure method:

be self-assessed and recorded by participants

指标中文名:

鼻结膜炎生活质量问卷-标准化评分

指标类型:

次要指标

Outcome:

Rhinoconjunctivitis Quality of Life Questionnaire-standardized score (RQLQs)

Type:

Secondary indicator

测量时间点:

2周/次

测量方法:

RQLQ量表

Measure time point of outcome:

This is done every 2 weeks

Measure method:

be self-monitored and recorded in the RQLQs

指标中文名:

鼻阻力

指标类型:

次要指标

Outcome:

rhinomanometry

Type:

Secondary indicator

测量时间点:

实验开始前及结束后

测量方法:

鼻阻力计

Measure time point of outcome:

Before and after the intervention

Measure method:

Nasal resistance meter

指标中文名:

鼻声反射

指标类型:

次要指标

Outcome:

acoustic rhinometry

Type:

Secondary indicator

测量时间点:

实验开始前及结束后

测量方法:

鼻声反射仪

Measure time point of outcome:

Before and after the intervention

Measure method:

Nasal acoustic reflectometer

指标中文名:

不良事件

指标类型:

次要指标

Outcome:

adverse events (AE)

Type:

Secondary indicator

测量时间点:

任何时候

测量方法:

记录于不良反应记录表

Measure time point of outcome:

anytime

Measure method:

be self-monitored and recorded in the adverse events form

指标中文名:

缓解药物评分

指标类型:

次要指标

Outcome:

relief medication scores

Type:

Secondary indicator

测量时间点:

每次服药后

测量方法:

记录于应急药物记录本

Measure time point of outcome:

After taking medication

Measure method:

be documented in participants’ diaries

指标中文名:

鼻腔分泌物的生化分析

指标类型:

附加指标

Outcome:

the biochemical analysis of nasal secretions

Type:

Additional indicator

测量时间点:

实验开始前及结束后

测量方法:

ELISA法

Measure time point of outcome:

Before and after the intervention

Measure method:

Enzyme-Linked Immuno-Sorbent Assay, ELISA

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

鼻腔分泌物

组织:

Sample Name:

nasal secretions

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 65 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

本试验采用随机对照的临床试验方法,试验中注意随机方法的隐藏,用 SAS 统计分析系统 PROCPLAN 过程语句,给定种子数,生成随机号,由与本试验无关的专人控制分配方案,采用计算机网络管理。合格参加者进入观察时,研究人员按其进入观察先后顺序上网取随机号,按随机号对应的分组进行干预。

Randomization Procedure (please state who generates the random number sequence and by what method):

Using the SAS statistical analysis system PROCPLAN process statement, the random number was generated according to the given number of seeds. The computer network management was adopted, meanwhile, the distribution scheme was controlled by a special manager who is unrelated to the study. When qualified participants entered the observation, the researchers took random numbers from the internet in the order of their entry into the observation, and intervened according to the groups corresponding to the random numbers.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

因实验组与对照组的干预方法显著不同,故不设盲法

Blinding:

In the course of the study, due to the significant content contrast between the treatment group and the controlled groups, the conditions for blinding method setting were not met.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

共享于临床试验公共管理平台

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Share on ResMan.

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例记录表及临床试验公共管理平台

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case Record Form (CRF) and ResMan

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2023-06-08 17:09:18